Hidmat Care Limited improved from Requires Improvement to Good overall, with Safe and Effective both rated Good following resolution of previous regulatory breaches in risk assessment and governance. Well-Led remains Requires Improvement due to insufficient oversight systems for staff files, care records and call monitoring, though the registered manager demonstrated transparency and took immediate remedial action during the inspection.
Concerns (3)
moderateGovernance: “further strengthening was needed to ensure effective systems were in place to assess, monitor and review all key areas of the service. This included oversight of staff files, care files and training records”
moderate
Record keeping
: “The times care staff arrived and left people's homes could not be accurately overseen and a new system was due to start imminently.”
minorGovernance: “The new processes needed to be embedded and sustained over time.”
Strengths
· Improvements made to risk assessments and safety monitoring since last inspection; care and risk plans covered known risks such as falls, pressure wounds and moving and handling.
· People received care from a consistent staff team; carers arrived on time and stayed for the correct length of time.
· Medicines administered safely with electronic MAR charts monitored by senior staff; staff competency in medicines administration was checked.
· Staff received induction, mandatory training, refresher training and one-to-one supervisions.
· Provider worked flexibly in partnership with health and social care professionals including social workers, occupational therapists and district nurses.
Quality-Statement breakdown (17)
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffRequires improvement